Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may prescribe a safer alternative based on your clinical condition.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the drug based on your clinical condition.
General warnings
Lactic Acidosis
This medicine may cause lactic acidosis, which may be fatal, in some patients. This risk is especially higher in patients suffering from heart diseases, kidney diseases, etc. Report any unusual symptoms to the doctor immediately. Replacement with a suitable alternative may be required based on the clinical condition.
Kidney disease
This medicine should be used with extreme caution in patients with kidney diseases due to the increased risk of worsening of the patient's condition. Regular monitoring of kidney function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Type I diabetes
This medicine is not recommended for use in patients suffering from Type I diabetes since it is not effective in treating such patients.
Diarrhea
This medicine may cause diarrhea when therapy is initiated. In most cases, diarrhea subsides by itself. Contact your doctor if the problem persists for longer durations. Therapy may need to be discontinued in some cases based on the clinical condition.
Vitamin B12 deficiency
This medicine should be used with extreme caution in patients with vitamin B12 deficiency since it may worsen the patient's condition. Appropriate vitamin B12 supplementation and dose adjustments may be required in some cases.
Stress
Use of this medicine should be discontinued in patients exposed to stressful conditions such as a fever, trauma, surgeries, or accidents since it may not be effective in controlling blood sugar levels in these conditions. Replacement with a suitable alternative should be considered under your doctor's supervision.
Fluid Retention and Edema
This medicine should be used with caution in patients with fluid retention and edema due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Weight gain
This medicine may cause a mild to moderate weight gain in some patients.
Photo-sensitivity
This medicine may cause allergic skin reactions on exposure to sunlight in some patients. Patients are advised to use sunscreen and wear protective clothing to avoid these reactions. Replacement with a suitable alternative may be required if the reactions are severe.
Use in Children
This medicine is not recommended for use in children Since the safety and efficacy of use are not clinically established.
Liver Disease
This medicine should be used with extreme caution in patients with liver diseases due to the increased risk of worsening of the patient's condition. Regular monitoring of liver function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Gastrointestinal Diseases
This medicine is not recommended for use in patients with any gastrointestinal diseases like inflammatory bowel disease, colonic ulceration, partial intestinal obstruction, or any chronic intestinal disease. It is advised that you should inform the doctor about all your medical conditions before starting treatment with this medicine.
Diabetic ketoacidosis
This medicine should be used with extreme caution in patients with diabetic ketoacidosis due to the increased risk of severe adverse effects. Close monitoring of blood glucose levels and vital signs is recommended for such patients. Report any unusual symptoms to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Change of medicines
You may experience some temporary side effects if there is a change in the current medications used for diabetes mellitus. This overlapping effect is because of the change from one medicine to another. Close monitoring of blood sugar levels is recommended in these cases.